Key result
Surgical inspection reveals excessive adhesive mimicking aortic root abscess on transesophageal echocardiography.
Why the study?
Aortic root abscess is a serious complication of aortic valve endocarditis with high morbidity and mortality, and its diagnosis can be challenging due to mimics such as surgical adhesive.
Case Report (n=1)
Excessive surgical adhesive can mimic an aortic root abscess on transesophageal echocardiography following aortic valve replacement.
Excessive surgical adhesive may mimic aortic root abscess on post-AVR TEE; case report extends known pitfalls but leaves confirmation to future series.
Aortic root abscess is a complication of aortic valve endocarditis that is associated with a high morbidity and mortality. The diagnosis usually is made with transesophageal echocardiography, which is highly sensitive and specific for the disease. We present a case of suspected aortic root abscess 1 week after mechanical aortic valve replacement for native valve endocarditis. The diagnosis was made by the use of transesophageal echocardiography but surgical inspection revealed that the paravalvular fluid collection was excessive surgical adhesive. We discuss the clinical significance and differential diagnosis of aortic root abscess in the setting of infective endocarditis.
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Silverton et al. (2017) conducted a case report in Suspected aortic root abscess (n=1). Transesophageal echocardiography and surgical inspection was evaluated on Diagnosis of paravalvular fluid collection. Surgical inspection revealed that a suspected aortic root abscess diagnosed by transesophageal echocardiography was actually excessive surgical adhesive.
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